MIED (Rev. 04/09/06) Notice of Appeal UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN Plaintiff(s), v. Case No. Judge Magistrate Judge Defendant(s). / NOTICE OF APPEAL Notice is hereby given that [Name of Party] appeals " Judgment " Order to the United States Court of Appeals for the Sixth Circuit from the: " Other: entered in this action on [Date] . Date: Counsel is: [CJA, FDO, pro se, pro bono, retained, U.S.Atty] Signature Bar No. Street Address City, State Zip Code Telephone Number Primary Email Address Appellant: Please file this form with the District Court Clerk's Office. If you are paying the filing fee, please make your $505.00 check payable to: Clerk, U.S. District Court. American LegalNet, Inc. www.FormsWorkFlow.com